DANIEL STEVEN MOORE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046327

License Status

EXPIRED

Business

First Name

DANIEL

Middle

STEVEN

Last Name

MOORE

Suffix

Business Name

DANIEL STEVEN MOORE MD

Original Issue Date

06/17/2003

Effective Date

06/17/2003

Expiration Date

06/16/2006

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006